1981, 06-08 Permit: 81A-5506 Inspect I
INSPECTION RECORD
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OWNS LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE •REMARKS:
Z/1. ..x/r/
L
111
iliiiMIAPPLICATION/PERMIT d PERMIT N .[A I�W Y v
SPOKANE COUNTY—BUILDING CODES DEPARTMENT / $I Ar'5706.
NORTH BII JEFFERSON/SPOKANE,WASHINGTON 99200/WOW 4064016
APPLICANT: COMPLETE NUMBERED SPACES-PRESS HARD TO MAKE 3 COPIES
�g. I TN LEGAL DESCRIPTION–SEE ATTACHED 3 *45.00
J 1. Job e. I87 -� I I' ..
e LOT BLOCK SUBDIVISIO PARCELNUMBER/S •4506
2- 35058
OWNER �Gl-M*1I E -'7
3. IJL9--� CP 0�6-04-8:1
ru 1`d}10O P'�{11S it ' eJ l4` f Actual Set 6 In Fe. f 64 79
CONTT q �� gelc-5 metol Parcalac�eytn RMC IW«l
Y s . //l, �� aRlllulbn
• 4. ADDRESS ZIP TWO Cone. Occupancy Zn SPrinkl.r.d ::.h..; :(;Y,tunyk.1rIN
❑y.. OR. ❑n.A'd.
DESIGNER PHONE Valuation Building Ar«In So.Ft.
S' ADDRESS ZIP Mtln Floes ApP«Flee W qr« Stonq.
CHANGE OF USF FROM TO Ar«of Decka Frnbn.d.exm.nt Unlln.Bexmpl
6.
TYPE No.Bates I No.Stories I No.Rooms o.of Oweionx
N ❑
EW /LMLT. 0 AWN. 0 RPL. 0 MVS. 0 OTHER
III
T 0 OLD. H P .. 0 MOCN. 0 M.M. 0 POOL
WCERTIFICATE ROSS. I HOC'S. 'lot Reo'd.
or EXEMPTION
Emma.DIP. Louflen(Arm)
FEES COLLECTED
uSVGAITkW1C P'Af� �CTRIC//O)ATER SEWER owner,,,, USE CODE
9. UTILITIES Public DIVA«ta D Silgle S
I hereby certify the)I have read end exnnrined this eppllnnlian and have teal the"NOI'll'I"nrlwi.lans included
rni aide,end know the e IG be true and correct.Al)pinviinns at lows'''ii, nlancn+
e.iilovenling thea Building
type sm
ofwork will be complied with whether specified herein of not.The'Irantlnn it a n'm.dem,nal presume
to owe authority to violate or cancel the provisions of any other stale ni local law Iepulall lin iV111l1uclinn or tho
performance of construction.SEE REVERSERSIDE FOR REQUIRED INSPECTIONS/ /s7 ,2+y.Z£- Plumbing
DATE OF APPLICATION 6/Cf/87 _`_.SIGNATURE UI-APPI WANE ap / .__,_. Mph.
SPECIAL APPROVALS ///SPECIAL CONDITIONS:
r ahh NAME DATE I 5/1'I 1 - ,"�'/- CjOJ'r,VIE. n y I Plan Check
I InUvl�y,� av 1 7 w (7_ RIS MS- I°M Z/ SEPA
annIng
2.2181
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